MARSHALL KIM (N.P.) – Nurse Practitioner, NPI 1346643608

MARSHALL KIM (N.P.) is a healthcare provider. based in Bellevue, Washington. specializing in Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. AP60637595 (WA). The NPI Number for MARSHALL KIM (N.P.) is 1346643608

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MARSHALL KIM (N.P.)
NPI
1346643608
Phone
(425) 998-7884
Address
14450 NE 29TH PL STE 203
Enumeration Date
1 October 2014
Last Update Date
24 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2539441289
Graduation Year
2013 (13 years ago)
PAC ID
2365741436
Group Practice PAC ID
9032368220
Professional Enrollment ID
I20160425002164
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for MARSHALL KIM (N.P.)

  • 14450 NE 29TH PL STE 203

    BELLEVUE, WA 980078616

    Phone: (425) 998-7884

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 520-5700

    Type: Mailing

  • 825 EASTLAKE AVE E

    SEATTLE, WA 981094405

    Phone: (206) 288-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,464.

Total Amount is formed as General ($1,464) + Research ($0) + Ownership ($0) = $1,464.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Medtronic, Inc. ($1,162).

Total Amount

$1,464

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160425002164INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032368220View full group profile
NameSpecialtyState
Physician AssistantNJ
Physician AssistantWA
-WA
Interventional Pain Management, Pain ManagementWA
Physician AssistantNV
Nurse PractitionerWA

Reviews

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Frequently asked questions

What unique ID ties claims to MARSHALL KIM (N.P.)?
NPI 1346643608 is assigned to MARSHALL KIM (N.P.) under the national enumeration system.
Is MARSHALL KIM (N.P.) active in the national directory?
MARSHALL KIM (N.P.)'s public NPI profile is in an active state.
Does MARSHALL KIM (N.P.) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MARSHALL KIM (N.P.). Clinical services aligned with this taxonomy classification.
Does MARSHALL KIM (N.P.) practice in Washington?
You will see Bellevue, Washington on file for MARSHALL KIM (N.P.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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